Organization
DENTAL ASSOCIATES OF FLORIDA (BRANDON) PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 726-1611
Entity
Organization
Contact information
Practice address
647 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 689-1811
Mailing address
647 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 689-1811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
FL
Other
Enumeration date
10/04/2016
Last updated
10/05/2016
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